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Endoscopic Sinus Surgery with Antrostomy Has Better Early Endoscopic Recovery in Comparison to the Ostium-Preserving Technique
Joint Authors
Torkkeli, Tommi
Rautiainen, Markus
Luukkainen, Annika
Toppila-Salmi, Sanna
Myller, Jyri
Source
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-06-18
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Background.
Endoscopic sinus surgery (ESS) is considered for chronic rhinosinusitis (CRS) after failure of conservative therapy.
Objective.
The aim of this study was to evaluate endoscopically ostium patency and mucosal recovery after ESS, with either maxillary sinus ostium-preserving or -enlarging techniques.
Materials and Methods.
Thirty patients with non-polypous CRS were enrolled.
Uncinectomy-only and additional middle meatal antrostomy were randomly and single-blindly performed for each side.
Pre- and postoperative endoscopic scores were semi-quantitatively determined according to findings in the ostiomeatal complex area.
Adhesions, maxillary sinus mucosal swelling, secretions, and ostium obstruction were also endoscopically evaluated.
In addition, symptoms were asked and computed tomography scans were taken preoperatively and 9 months postoperatively.
Results.
At 16 days postoperatively, a better endoscopic score and a less obstructed ostium were found with antrosomy.
At 9 months postoperatively the endoscopic score improved significantly and identically with both procedures, however, obstructed ostia and sinus mucosal swelling/secretions were insignificantly more frequently found on the uncinectomy-only side.
Endoscopic and radiologic findings of the maxillary sinus mucosa and ostium correlated significantly 9 months postoperatively.
Conclusion.
There was a good long-term mucosal recovery with both surgical procedures.
In terms of early mucosal recovery and ostium patency, antrostomy might be slighly superior.
American Psychological Association (APA)
Luukkainen, Annika& Myller, Jyri& Torkkeli, Tommi& Rautiainen, Markus& Toppila-Salmi, Sanna. 2012. Endoscopic Sinus Surgery with Antrostomy Has Better Early Endoscopic Recovery in Comparison to the Ostium-Preserving Technique. ISRN Otolaryngology،Vol. 2012, no. 2012, pp.1-8.
https://search.emarefa.net/detail/BIM-453073
Modern Language Association (MLA)
Luukkainen, Annika…[et al.]. Endoscopic Sinus Surgery with Antrostomy Has Better Early Endoscopic Recovery in Comparison to the Ostium-Preserving Technique. ISRN Otolaryngology No. 2012 (2012), pp.1-8.
https://search.emarefa.net/detail/BIM-453073
American Medical Association (AMA)
Luukkainen, Annika& Myller, Jyri& Torkkeli, Tommi& Rautiainen, Markus& Toppila-Salmi, Sanna. Endoscopic Sinus Surgery with Antrostomy Has Better Early Endoscopic Recovery in Comparison to the Ostium-Preserving Technique. ISRN Otolaryngology. 2012. Vol. 2012, no. 2012, pp.1-8.
https://search.emarefa.net/detail/BIM-453073
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-453073